Bradycardia with Syncope in carotid sinus syndrome: A rare case report in palliative care

Arunangshu Ghoshal, Shamali Poojary, Anuja Damani, Naveen Salins, Jayita Deodhar, Maryann Muckaden

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Emergencies in palliative care need to be defined by the potential distress that a clinical issue raises for a person. A 58-year-old male with carcinoma vallecula referred for palliative care presented with recurrent syncopal attacks. On examination, a swelling at the left angle of mandible pressing on the carotid sinus was detected. A clinical diagnosis of carotid sinus syndrome was made, which is an exaggerated response to carotid sinus baroreceptor stimulation and results in dizziness or syncope from transient diminished cerebral perfusion. Rapid identification and judicious interventions in time (cardiac consultation, intravenous atropine 0.5 mg, and temporary pacemaker implantation) were able to manage a potentially correctable cardiovascular emergency in his case.

Original languageEnglish
Pages (from-to)375-377
Number of pages3
JournalIndian Journal of Palliative Care
Issue number3
Publication statusPublished - 01-07-2018

All Science Journal Classification (ASJC) codes

  • Health Policy
  • Public Health, Environmental and Occupational Health


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